Organization
LISTCO INC
Active
Other names
SKY RIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ESKANOS (OWNER)
(303) 468-0300
Entity
Organization
Contact information
Practice address
10103 RIDGEGATE PKWY, STE 117A, LONE TREE, CO 80124-5520
(303) 468-0300
(303) 468-0307
Mailing address
10103 RIDGEGATE PKWY, STE 117A, LONE TREE, CO 80124-5520
(303) 468-0300
(303) 468-0307
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
514
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003524
PK
—
05
—
61224863
—
CO
Enumeration date
08/13/2006
Last updated
07/08/2016
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